Camper InformationHow many students are registering for camp?*Please Select1234Participant Name* First Last Gender*Please SelectMaleFemaleDate of Birth* MM slash DD slash YYYY Age*Please enter a number from 5 to 12.School:* T-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega Cay2nd Participant Name* First Last Hidden2nd Participant Name2nd Camper Price2nd ParticipantGender*Please SelectMaleFemaleDate of Birth* MM slash DD slash YYYY Age*Please enter a number from 5 to 12.School:* T-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston- SalemTega CayIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega CayIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega Cay3rd Participant Name* First Last Hidden3rd Participant3rd Camper Price3rd ParticipantGender*Please SelectMaleFemaleDate of Birth* MM slash DD slash YYYY Age*Please enter a number from 5 to 12.School:* T-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega CayIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega Cay4th Participant Name* First Last Hidden4th Participant4th Camper Price4th ParticipantGender*Please SelectMaleFemaleDate of Birth* MM slash DD slash YYYY Age*Please enter a number from 5 to 12.School:* T-Shirt Size*Please SelectChild SmallChild MediumChild LargeChild X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeIs participant a TKD Student?*Please SelectYesNoIf yes, which location?Please SelectClemmonsGreensboroHigh PointKernersvilleMatthewsWinston-SalemTega Cay Adult DemographicsPrimary Parent/Guardian* First Last Primary Phone*Secondary PhoneEmail* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you find out about our camp?*Please SelectTKD SchoolBrochureFriendWebsiteFacebookOther Week Registration/BillingWhat weeks will camper #1 be attending?* Select All Week 1: School's Out! Let's Celebrate! (6/14-6/18) Week 2: Roaring Fun! (6/21-6/25) Week 3: Ninja Warrior Training (6/28-7/2) Week 5: A Whale of a Good Time (7/12-7/16) Week 6: A Wild Ride (7/19-7/23) Week 7: Lights! Camera! Action! (7/26-7/30) Week 8: Jumping Into Fun! (8/2-8/6) Week 9: This is How we Roll (8/9-8/13) Week 10: Flutter Back to School (8/16-8/20) What weeks will camper #2 be attending?* Select All Week 1: School's Out! Let's Celebrate! (6/14-6/18) Week 2: Roaring Fun! (6/21-6/25) Week 3: Ninja Warrior Training (6/28-7/2) Week 5: A Whale of a Good Time (7/12-7/16) Week 6: A Wild Ride (7/19-7/23) Week 7: Lights! Camera! Action! (7/26-7/30) Week 8: Jumping Into Fun! (8/2-8/6) Week 9: This is How we Roll (8/9-8/13) Week 10: Flutter Back to School (8/16-8/20) What weeks will camper #3 be attending?* Select All Week 1: School's Out! Let's Celebrate! (6/14-6/18) Week 2: Roaring Fun! (6/21-6/25) Week 3: Ninja Warrior Training (6/28-7/2) Week 5: A Whale of a Good Time (7/12-7/16) Week 6: A Wild Ride (7/19-7/23) Week 7: Lights! Camera! Action! (7/26-7/30) Week 8: Jumping Into Fun! (8/2-8/6) Week 9: This is How we Roll (8/9-8/13) Week 10: Flutter Back to School (8/16-8/20) What weeks will camper #4 be attending?* Select All Week 1: School's Out! Let's Celebrate! (6/14-6/18) Week 2: Roaring Fun! (6/21-6/25) Week 3: Ninja Warrior Training (6/28-7/2) Week 5: A Whale of a Good Time (7/12-7/16) Week 6: A Wild Ride (7/19-7/23) Week 7: Lights! Camera! Action! (7/26-7/30) Week 8: Jumping Into Fun! (8/2-8/6) Week 9: This is How we Roll (8/9-8/13) Week 10: Flutter Back to School (8/16-8/20) Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Product NameTotal $0.00 Δ
